Dr. Miranda’s Plateau Busting Protocol

Dr. Miranda’s Plateau Busting Protocol

Dr. Miranda’s Plateau Busting Protocol™

My Plateau Busting protocol is a work in progress, as we discover new information in the literature – we tweak this as needed.  By popular demand, I have enclosed the original protocol  here so people can refer to it, but please know that this protocol works for many people but I am currently putting the final touches on my weight loss book which will have many more options for people.




One of my most popular videos on Youtube is “What To Do When Your Hit a Weight Loss Plateau”, and due to it, and the popularity of my Facebook group  www.facebook.com/WeightLossResources one of the most common things reported to me is that people are hitting plateaus and are at a loss as how to proceed since they have tried everything but they just can’t seem to break through that scale barrier. So, in my quest to help my team members and friends, I got out my pharmacology texts and my physiology texts and took a long, hard look at things to try to figure out how we could best use  certain products to blast through those stubborn weight plateaus and barriers.
After studying these texts and the physiology behind how certain organ systems and pathways work – I had a brainstorm on how to dramatically increase weight loss using a few small dietary changes and chronopharmacology; the study of how biological rhythms interact with metabolism and medication & nutrient absorption. So to put my theory to test, I asked for a spectrum of volunteers from my online groups. I laid out the rules for the trial, and all participants had to have been stuck at a weight loss plateau (or actually gaining weight) for a minimum of a month. It ended up that nearly every participant had been at a plateau for 3-6 months or longer. So we were dealing with some bodies that were very resistant to weight loss. Let me be clear, this was a trial to test a theory. It was not a double-blind clinical study which is virtually impossible to run in the real world because you cannot control or modulate people’s individual diets and lifestyles to the extent that would give you enough controls to have a true clinical objectionable study. My trial centered on three products: a glucose regulating product,  a proteolytic enzyme formula, and a potent probiotic.  The participants were instructed to continue taking any medications that had been prescribed to them and to continue taking any supplements they had been taking with the exception of any ‘weight loss’ products. I issued 5 STEPS that they were to follow:

  • 1) STEP 1 – Ketogenic or “Death to Diabetes®” breakfast comprising of a cup of coffee or tea (if desired) and one of 2 approved breakfasts
  • 2) STEP 2 – Taking 2 capsules of TruFix (from TruVision Health) per day.  An optional step is to drink a glass of Tru Heart & Hydration at this time.
  • 3) STEP 3 – Taking Biotics Research Intenzyme Forte ™ twice daily on an empty stomach
  • 4) STEP 4 – Taking 1-2 capsules of an approved probiotic  at bedtime, on an empty stomach
  • 5) STEP 5 – Twice daily, or more –  drinking a cup+ of tea from the approved list of teas.

Other than that, they were to eat regular meals and to be mindful about excessive carbohydrate intake. They were to continue life as usual. They were instructed NOT to start an exercise program if they hadn’t already been doing it.. We tried to minimize the affect ancillary factors would have on the protocol.

“It’s been barely been over 2 weeks and I’m down 10 lbs with my… products and with just a few changes to what I was already doing!”   Trial Participant

So now you know the basic steps, but you need to understand the science and rationale behind the recommendations:


Upon waking you are allowed to eat the following:
1) 1 cup of coffee or tea ( if you drink coffee or tea) * “Bulletproof Coffee” is acceptable (1 tbsp of organic grass-fed butter blended into your coffee with or without added coconut oil)
2) Only protein for breakfast – eggs, fish, steak, bacon, sausage, left-over meat from the previous night’s dinner. 2-4 oz of protein is fine. The only other acceptable breakfast is the “Death to Diabetes©”1 breakfast – consisting of 3-4 oz of meat or fish along with up to 2 cups of steamed green vegetables dressed with 1 tbsp of olive oil, 2 tbsp of vinegar, and any type of Mrs. Dash™ seasoning. The latter breakfast is better for people who prefer to eat larger meals early in the day.
3) Healthy fats – 1 tbsp of coconut oil, grass-pastured butter, avocado, or raw nuts (raw walnuts, pecans and macadamia nuts are particularly beneficial) may be added to control hunger or cravings.

Rationale: The breakfast needs to be essentially carb-free. Do not ask me if you can have fruit, or yogurt, or cereal, or pancakes, or donuts, or oatmeal, or cheese, or anything else. We want ONLY protein so we are starting off the day by leveling glucose and insulin. Those other foods, even if they are ‘healthy’ choices, will spike your glucose and insulin, and then your TruFix has to work twice as hard to be effective. This is, in effect, a ketogenic or paleo-style breakfast. This type of meal “shifts the body’s metabolic engine from burning carbohydrates to burning fats”2 and improves insulin sensitivity and leptin resistance3. Consuming carbohydrates, even in healthy forms such as those from fruit (fructose) or dairy (lactose) causes surges in blood glucose levels which in turn initiate the release of insulin. People with excess weight have been shown to be insulin resistant4 and therefore if we by pass this, we set the stage for less severe glucose and insulin fluctuations throughout the day. In fact, in his book Death to Diabetes™, researcher DeWayne McCauley postulates that eating a paleo or ketogenic breakfast is the most important factor in modulating glucose levels throughout the day.5


1) Take 2 capsules of TruFix each morning.  

Rationale: There are several. First, we want to regulate glucose and insulin spikes.  Even as little of five extra pounds of body weight indicates some degree of insulin resistance.  One, we are consumingthe TruFix  at  or near the same time the same time as protein. Protein takes longer to digest than carbohydrates and the stomach retains protein containing meals for longer periods of time before it is sent through to the small intestine. This enhances absorption of the TruFix ingredients. Two, for those doing the optional step of drinking the TruHeart & Hydration drink mix,  there is a well established neural-lingual connection between your taste buds and the brain. Primary gustatory fibers synapse centrally in the medulla, so upon consuming sweet substances, the sweet taste receptors in the mouth stimulates the release of dopamine in the brain. We can use this signaling to turn down the body’s desire for carbohydrate-rich or sweet substances; “…sweet taste is modified by circulating hormones. Recently, the effect of leptin on sweet-responding taste cells has generated much interest. Leptin, a protein hormone secreted mainly by adipocytes regulates body mass and suppresses insulin secretion by the activation of ATP-sensitive KCn . Its inhibitory effect on TRCs also involves the activation of a K+ conductance and membrane hyper polarization. Thereby the hormone partially blunts nerve signals indicating sweet taste, which, presumably, makes food less attractive.”6 So, in effect by concentrating the sweetness of Heart & Hydration, and holding it for a slightly prolonged period in the mouth to extend its contact time with taste buds, we are fooling the brain into believing that it has consumed a significant amount of carbohydrates, and it turns down your appetite and cravings for them.

The first few days of trying this new method seemed *very sweet* to me, but as I persevered, I noticed a marked reduction in both my appetite and cravings, as did the trial participants. In order for this neural-lingual activation to work you must be tasting the Heart & Hydration. Do not drink it with a straw, do not use ice (which has a numbing effect on the taste buds), do not cut it with cranberry juice, Mio™ Drops, or any other agent that will alter the taste.


STEP 3 –

1) Mid-morning and mid-afternoon take Intenzyme Forte™ . The trial was performed using 1 capsule of  Intenzyme Forte  mid-morning, and 1 capsule mid-afternoon on an empty stomach. Empty stomach usually means 30 minutes+ prior to eating or a minimum of 90 minutes after eating. *This HAS to be taken on an empty stomach or IT WILL NOT WORK! Please note, if you have significant levels of inflammation, you can take 2 capsules twice a day, but for simplicity and to curtail costs, the trial was performed using 1 capsule twice daily.

Rationale: Where do we start? There are so many! First, let’s take a look at how inflammation makes you fat : Inflammation begins within the fat cells themselves. Most people think of inflammation and assume that means joint pain, but inflammation is so much more. At its very core a fat cell is an inflamed cell. “As glucose is moved into fat cells, they produce an excess of Reactive Oxygen Species (ROS) which in turn initiates an inflammatory cascade within the cell”7. As the percentage of body fat increases, the rate of inflammation increases exponentially. This inflammation causes insulin resistance, and can be noted with C-Reactive Protein testing. The inflammatory cascade eventually makes its way to the brain, specifically the hypothalamus, where it causes leptin resistance.8 Leptin is your ‘hunger’ hormone and is noted for controlling your appetite and regulating your metabolism. The more fat you have the greater potential you have for leptin resistance, which affects your glucose regulation, and slows your metabolism which results in more weight gain and insulin resistance. It is a vicious cycle that keeps getting progressively worse. Inflammation within the gut itself, where 80% of immune function resides, further causes both leptin and insulin resistance. An imbalance in the gram-negative bacteria in the gut has been shown to produce an endotoxin called lipopolysaccharide (LPS) and a cytokine cascade which causes inflammation, insulin resistance, and weight gain.9 But I digress, we will get into how bacteria are related to obesity in the next step. Obesity makes fat cells act like they are infected.10 The stimulation of fat cells by excess calories causes the cells to make Major Histocompatibility Complex II (MHCII), which in turn sends your immune system into over-drive, mimicking autoimmune dysfunction.11 This breakthrough in understanding the fat cell may prove to be crucial future weight loss and aging studies.

Intenzyme Forte™ is a proteolytic enzyme formula. When taken on an empty stomach, it can be absorbed intact into the bloodstream12 where it can be directed towards breaking down those inflammatory products in the body. Proteolytic enzymes have been demonstrated to reduce Tumor Necrosis Factor alpha (TNF-a), a cytokine protein that signals inflammatory responses along with other pro-inflammatory mediators such as Prostaglandin E2 and Thromboxanes.13 Autoimmune dysfunction is associated with increased levels of TNF-a.14

In addition to the overwhelming capacity of proteolytic enzymes to interrupt this fat-inflammation cycle, certain ones, including bromelain, have a secondary action of helping the body to utilize insulin more efficiently which in turn helps to keep blood glucose fluctuations less dramatic. 15

To summarize all of this technical jargon : fat cells are inflamed cells. Think of each fat cell like a little water balloon filled with fat. The fat creates chemicals which not only irritate the body, but stimulate the body to keep making more and more fat cells. This is very stressful on the body which finds the inflammatory chemicals hugely irritating, so the body tries to dilute those irritants by sending more water to the area (bloating and swelling) to flush those chemicals away. This not only sends the body down the pathway to blood sugar dysregulation and even diabetes, but can result in premature aging and even autoimmune-type degeneration. Once you have made a fat cell, you can never get rid of them (barring surgery like liposuction) but you can deflate those ‘balloons’ of fat, and turn off the inflammation production. That is what we are trying to achieve with this step.

” I started Plexus on May 24, 2013. I did exceptionally well with weight loss and then November hit. I got stuck. As the weeks passed I saw my numbers going back UP. I tried everything… Nothing was working NOTHING – and no one seemed to have any answers for me except the usual drink your water, what are you eating, did you do the spit test….I just did my 3 week weighs and measurement since I started Dr Miranda’s way of taking my… products…. apparently my inches are on super movement (and keep in mind my weight loss would probably have been more BUT I had a huge “bad” Easter dinner and we hit and all you can eat wing night in this time period!)

So I am back to not having to starve to death and the scales are moving in the right directions!!! In just 2 weeks, I have lost 7.5 inches and 5.3 lbs.

WAHOOOOOOOO! ”  Trial participant


STEP 4 –

1 ) At bed time, take 1-2 capsules of a broad spectrum probiotic. Again you want to take your probiotics on an empty stomach so it gets passed through your stomach acid quickly and so it can colonize in your large intestine while you have your longest period of bowel rest. If you take magnesium, this is an ideal time to take it too.

Rationale: An increasing body of evidence suggests that obesity is directly linked to the bacteria in your gut. In fact the bacteria in thin people differs from the bacteria in overweight people. 16 Thin people and overweight people have entirely different strains and ratios of intestinal flora.17 Researchers at Laval University in Canada, found that female test subjects receiving probiotics lost twice as many pounds as those in the placebo group over the course of a twelve week period.18 Furthermore, probiotics may normalize intestinal pH, making it more difficult for candida albicans to thrive, and may crowd out pathogenic bacteria sepcies.19 There are variations of professional opinion on the best way to consume probiotics, but heat and acid are enemies of bacteria, so if you can get the probiotics through the stomach acid as quickly as possible, then you have created optimal conditions for the greatest number of probiotics to survive. Hence the need to take them on an empty stomach. Taking them at night coincides with the greatest period of bowel rest for most individuals, which allows for longer periods of contact between the probiotics and the intestinal mucosa, which may improve the rate of colonization. When you take probiotics with food, they stay in the acidic stomach for much longer, which kills off a greater percentage of the bacteria.

STEP 5 –

1) At some point throughout the day, please consume 2 cups of tea – either hot or cold (make it yourself, do not use premade or commercial preparations) Green tea, Black tea, Dandelion Tea, Yarrow, Rosehip, Cornsilk tea, Roobios, or Pu-Ehr are all acceptable forms. Warm water with the juice of 1 lemon is acceptable as well. Sweeten with stevia or a small amount of table sugar (so its glucose/fructose ratio is balanced) to taste if needed. Mix up these forms of tea. If you use only one type, your body will accommodate, and we will lose the reason why we are adding this to the program. You don’t have to use all of them, but experiment and try at least 2 or 3. You can drink 2 cups at once or drink 1 cup at two different times.

Rationale: All of these teas have a known mild diuretic effect and by keeping them in rotation our body will not accommodate to it- thereby it maintains its effectiveness. Geranax had potent diuretic properties, and this contributed to the immediate weight loss many people experienced when they took it initially. As we already discussed, the body likes to flood inflamed tissues with excess water, so if we drink tea, its mild, natural diuretic properties help us flush those inflammatory by-products from the body, and that will support healthy weight loss. Please note: many of the teas listed, particularly the herbal teas are naturally caffeine-free. Should you choose to use green tea or black tea however, it is the caffeine portion of it which acts like a diuretic, so make sure to purchase regular versions and not decaffeinated ones.


Now for the rest of the questions you might have:

  • Meals – Make healthy choices when you can. If you can eat lower amounts of carbohydrates, you should see results faster. Try to eat GOD made foods and avoid as many Man-made foods as possible. *Perfect meals are meat & veggies*
  • If you drink alcohol, limit yourself to one (1) oz of hard liquor or 1 6(oz) glass of wine per day. If you drink more than this, it increases the difficulty you will have losing weight tremendously.
  • Avoid artificial sweeteners
  • Keep your fruits and yogurts as side dishes to your meals – like dessert.
  • If you already exercise, keep continuing what you are doing. Please don’t start a new program at the same time you initiate a new diet. You want to know what is working for you and what isn’t.
  • If you are consuming the beverages as described, please make sure that you are drinking your water. These cups of tea do count towards your daily quota.
  • Please do not skip meals.

We are going to do a few things differently than what you have been doing. Please follow these instructions:

** Start by taking your measurements and writing them down.   When you weigh yourself, do it first thing in the morning after you have gone to the bathroom. Do not wait until after you have eaten, and do not weight yourself later in the day. If you are measuring your blood sugar, please record your average fasting glucose and post-prandial reading (if you track that one. Take photos of yourself if you would like. You always want to weight yourself and take our measurements at the same approximate time of the day**

  1. STEP 1 – Ketogenic or “Death to Diabetes®” breakfast comprising of a cup of coffee or tea (if desired) and one of 2 approved protein based breakfasts
  2.  STEP 2 – TruFix™ , 2 capsules per morning.  Optional — 1 packet of Tru Heart & Hydration mixed into 8-12oz of water and hold it in the mouth for a few seconds before swallowing
  3.  STEP 3 – Take Intenzyme Forte™ twice daily on an empty stomach (mid-morning & mid-afternoon)
  4. STEP 4 – Take 1-2 capsules of an approved probiotic at bedtime, on an empty stomach
  5. STEP 5 – Twice daily, drinking a cup+ of tea from the approved list of teas. (Green tea, Black tea, Dandelion Tea, Yarrow, Rosehip, Cornsilk tea, Roobios, or Pu-Ehr, or water with the juice of 1/2 to 1 whole lemon in it)

Helpful pointers: :

  • Meals – Make healthy choices when you can. If you can eat lower amounts of carbohydrates, you should see results faster. Try to eat GOD made foods and avoid as many Man-made foods as possible. *Perfect meals are meat & veggies*
  • If you drink alcohol, limit yourself to one (1) oz of hard liquor or 1 6(oz) glass of wine per day. If you drink more than this, it increases the difficulty you will have losing weight tremendously.
  • Avoid artificial sweeteners
  • Keep your fruits and yogurts as side dishes to your meals – like dessert.
  • If you already exercise, keep continuing what you are doing. Please don’t start a new program at the same time you start a new diet. You want to know what is working and what is not.
  • If you are consuming the beverages as described, please make sure that you are drinking your water. These cups of tea do count towards your daily quota.
  • Please do not skip meals.

visit https://www.facebook.com/groups/Weightlossresources for help and support.

1. McCulley, DeWayne. Death to Diabetes. North Charleston: BookSurge LLC.© 2005
2. Ketogenic Diet Improves Insulin Sensitivity and Numerous Aging Markers. Retrieved April 26, 2014 from: http://articles.mercola.com/sites/articles/archive/2014/02/02/ketogenic-diet-health-benefits.aspx
3. ibid
4. Hyman, Mark. The Blood Sugar Solution. NY: Little, Brown and Company. ©2012
5. McCulley, DeWayne. Death to Diabetes.
6. Sweet taste signaling. Retrieved April 26, 2014: http://www.qiagen.com/products/genes%20and%20pathways/pathway%20details.aspx?pwid=425
7. How inflammation makes you fat and diabetic (and vice versa).
8. ibid
9. ibid
10. Obesity makes fat cells act like they are infected. Retrieved April 26, 2014: http://www.sciencedaily.com/releases/2013/03/130305145145.
11. ibid
12. Proteolytic enzymes among top 10 ways to help decrease inflammation. Retrieved April 26, 2014: http://www.enzymesinc.com/index.php?id=
13. Quell the fire of Inflammation the immense power of proteolytic enzyme therapy. Retrieved April 26, 2014: http://metabolichealing.com/quell-the-fire-of-inflammation-the-immense-power-of-proteolytic-enzyme-therapy/
14. ibid
15. Bromelain. Retrieved April 26, 2014 : http://www.webmd.com/vitamins-supplements/ingredientmono-1089-BROMELAIN.aspx?activeIngredientId=1089&activeIngredientName=BROMELAIN
16. The Microbes in Your Gut May be Making You Fat. Retrieved April 29, 2014: http://www.livescience.com/41954-gut-microbes-make-you-fat.html
17. ibid
18. Certain probiotics could help women lose weight, study finds. Retrieved April 30, 2014:
19. Why Use Probiotics For Candida? Retrieved Apriil 30, 2014: http://www.thecandidadiet.com/probiotics.htm

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. Disclaimer: Consult your physician before beginning any diet or exercise program. Dr. Miranda’s protocol is offered as generalized information and should not be construed as medical advice.
Copyright (c) 2014 Miranda Jorgenson. All rights reserved. This material may not be published, broadcast, rewritten or redistributed in whole or part without the express written permission of the author

Like vultures circling a wounded animal: when good MLM companies go bad (and good network marketers get sleazy)

Like vultures circling a wounded animal: when good MLM companies go bad (and good network marketers get sleazy)

It recently came to light that the health & wellness MLM company, Visalus has had a 50% decline in profits and has lost 40,000 of its distributors over year-to-date figures.1  This follows on the heels of the Federal Trade Commission opening an investigation into Herbalife2, and Italy’s Antitrust Authority scrutinizing three other health and wellness companies; Organo Gold, Vemma, and Asea3.  There are some waves afoot in our industry!

 Now some of these issues have been brought on by the companies themselves for less than desirable behavior, but other things were entirely preventable. Within the confines of network marketing, rules are established to ensure that a certain percentage of sales are direct-to-consumer and that product sales are not supported entirely upon the backs of fellow distributors. Many companies, and distributors in general, feel the pressure to push for larger and larger down lines instead of building a solid core of devoted consumers. We can see this frequently in how compensation plans are structured, promoted , or (mis)understood. As we have seen in other countries, the day is quickly coming in which all network marketing companies will be required to maintain a specific customer to distributor ratio. These requirements are a good thing because they ensure that not only is the product desirable and worthwhile, but it’s pricing is competitive. This establishes need for a superior product, and reduces the onus on sole profitability, thus eliminating the proverbial ‘pyramid’ where the few ride upon the backs of the many. As someone who readily supports network marketing, and wholeheartedly believes in relationship sales, I feel we need to look at these news reports as learning opportunities regardless of the company we personally promote.

To ensure longevity and success in any network marketing company, we should make a point of educating ourselves on the concept of CUSTOMERS FIRST. Some of the best products in the world come from the network marketing industry. The marketing model itself should be a boon not a hindrance to sales. Your consumer may very well love the product, but may have zero interest in the opportunity. If you take a product-centric approach and promote the product first, you can go back at the two or three month mark and approach your [happy] customer about the business opportunity. However, if you lead with the business opportunity, and that person doesn’t have a true desire to be involved in selling, or if their best efforts at selling result in failure (which is statistically probable) – then not only have you lost a [unhappy] distributor, but you have lost a [unhappy] customer, and you have created a disgruntled person who will share with others their displeasure with your company. If you lead with the product, then your product has to be worthy to lead with. You won’t run into the catch-22 that people are just buying your product to meet their qualification criteria. For a company to lead with their product, it creates an environment of progressiveness. The company usually will not rest on their laurels and just hope for the money to roll in but will be driven to create new and exciting products of exceptional caliber to further increase their market share.

I have seen this issue come to light recently with distributors arguing over the decreasing value of pay points, and pointing blame at the distributors who are quick to sign up people to their business who have no intentions of ever promoting the business. Yes, this is a valid point, but the responsibility cannot fall solely on the shoulders of eager distributors. Ultimately the responsibility falls with the parent company itself. If their compensation plan is not geared towards product sales, or if their compensation plan is not abundantly clear that distributors make as much, if not more money from product sales, then they have done their brand managers a disservice. Leading with the product helps to ensure exceptional customer service as opposed to creating a “churn ’em & burn ’em” mentality where you are constantly looking for the new person who will be your recruiting rock star. Leading with the product also creates stability in your pay structure, and helps you ride out industry ups and downs. If every network marketing company demanded that customer acquisition was a part of their promotional structure, then our entire industry would be seen in a more positive light because we would have, in essence, destroyed the pyramid model that overshadows us.


Now, speaking about how our industry is seen, I would like to make one last point.  When I read an online article mentioning MLM, either good or bad, it never fails that the comments section is filled with distributor after distributor plugging their own company or wares.  Like vultures circling a wounded animal, they are hovering and waiting for the death throes to strike.  This behavior is not only crass but it is unprofessional.  I have never spoken to any network marketing leader who said they recruited people from peppering news stories with their replicated website.  Worse, I see distributors peppering their fellow distributors You-Tube videos or blogs with comments directing readers to contact them instead of the author.  If we want our industry to be seen in a positive and professional light, we need to act the part — and blatantly disrespectful activities such as this not only fail to create business, but they turn off people that might have been receptive to your message otherwise.  Let’s start policing ourselves and our teams. Let’s put a professional face on our industry, and let’s put the focus on having the best possible products, because if we concentrate on that – the business aspect will naturally follow.

1.  http://www.businessforhome.org/2014/03/visalus-50-decline-in-sales-loosing-40000-promoters/

2. http://abcnews.go.com/Blotter/federal-trade-commission-investigate-herbalife/story?id=22882424 

3.  http://www.businessforhome.org/2014/03/organo-gold-asea-and-vemma-under-fire-in-italy/


Copyright (c) 2013 Miranda Jorgenson. All rights reserved. This material may not be published, broadcast, rewritten or redistributed in whole or part with out the express written permission of the author. You are welcome to share this link or print this page and use in its entirety.

How to Share Your MLM Products with Your Doctor

How to Share Your MLM Products with Your Doctor

One of the things I have people private message me at least a couple of times a week with – is asking me how they should approach their doctor about potentially carrying their new MLM product.  Now, I have been in private practice, and I have worked as an expert in the supplement industry, so I can look at this from both sides of the fence, and I will tell you , there is a definite RIGHT way to do this and a WRONG way to do this!

First, let’s start with  some basics.  You always stand better odds contacting doctors that you already have relationships with.  Cold-calling doctors or just showing up in

their office isn’t going to be a good use of your time or theirs and is the activity most likely to turn them off of your opportunity.  So, I highly recommend that you start by approaching the doctors that you have personally seen and who know you.  Also keep in mind that many physicians have a no MLM policy in effect in their office.  In some States, the medical board frowns upon doctors promoting anything in their office in which they have a financial interest (which is ironic, since an office in and of itself is a financial interest).  Other doctors may be receptive to finding products which may help their patients, but they are absolutely not interested in creating business relationships with their patients (and this is another grey issue for many State medical boards).  So tread carefully.

What NOT to do:

1.  Don’t Cold-call or just show up in the doctor’s office expecting to be seen.  That is the #1 sure-fire way to have your literature and product samples  ’round-filed’.  Make an appointment.  Doctors all pay their office staff to intercept sales calls.  Every office out there gets multiple calls a week of someone trying to sell them something, so just because you are excited about your product, it doesn’t mean the doctor will share that enthusiasm.  In fact, if you want the doctors attention, offer to bring in lunch so you can present  your opportunity to them and their staff.  On this point: prequalify with the office manager that the doctor and key staff will be present for the lunch.  You don’t want to drop money on salads or sandwiches and not have the decision-makers of the office present.

2.  Don’t dive right into your ‘PITCH’.  You have to solve a problem.  You HAVE to keep in mind the doctor’s demographic.  Ultimately, the doctor wants to help their patients.  If you are selling a product that helps with erectile dysfunction, but 80% of the doctors patients are under 30 years old – then erectile dysfunction likely isn’t a big concern of the doctors.  Before you ever delve into your ‘pitch’, you should ask the doctor questions.  Lots of questions.  Find out who is a typical patient, what are the most common health issues that they see, and what do they find people have a tough time dealing with or resolving.  If you have done your job right, the doctor will be talking 80% of the time, and you will be talking 20% of the time.  Once you have equipped yourself with this information, then you can solve the doctors’ problem.  Everything you say and do should be centered on how your product can help the doctors patients and practice.  Nothing else matters.

3.  Don’t be insulting.  I see this sales & marketing FAIL all of the time.  People come into your office and try to tell you how their product is superior by knocking down other products, or worse – they come in armed with product literature that tries to ‘baffle you with BS’.  Don’t expect that the doctor knows a lot about the ingredients that you may be discussing, but alternately, don’t assume that they are ignorant.  You have to walk a fine line between being informational and educational without being condescending.  When you take product literature to the doctor’s office, don’t give them everything you’ve got!  Keep it simple and brief – so the doctor will actually read it.  This also leaves you the opportunity to be able to offer them more detailed information when you follow-up.

What you SHOULD do:

1. Do your research.  Before you ever make an appointment with your doctor, you should have paid attention during your personal office visits to see if they even carry nutrition.  You should check their web pages too.  Often that will tell you if they are receptive to nutritional supplementation, and if they are fixated on a specific brand.  Some nutritionally focused doctors have been indoctrinated on one brand of supplements only and look disdainfully on all others.  Supplements are like religion: it is a waste of your time to try to ‘convert’ anyone who has already closed their mind to alternatives.

2.  Keep the ‘relationship’ in ‘relationship marketing’.  The best way to see your doctor implement your product is to have them or their staff become PRODUCTS OF THE PRODUCT.  If the doctor or one or more of their staff members can use your product successfully, then they have instantly developed their own testimonial and are far more likely to recommend your product to others.  If you have a fantastic weight loss product, and you see during your presentation that the doctor is wafer-thin but their staff could all use to lose 30 lbs, then your ‘IN’ at that office may be to develop an in-office weight challenge for the staff so they can personally see how effective your product is.

3.  Remember that doctors HATE the word ‘SALES’.  I can unequivocally say that I have met very, very few doctors who admit that what they do on a day to day basis is SALES.  Most would emphatically deny that they DO sales, and would be adamant in their distaste for all things SALES.  Yes, it makes no sense, but it is the paradigm that they operate under.  So for this reason, you have to be very careful on how you present the business opportunity.  Yes, most doctors want to diversify the potential revenue sources in the office.  No, they don’t want to give up ‘doctoring’ to become ‘sales people.’  If your opportunity can provide the doctor with a passive source of income for which they don’t have to aggressively pursue patients – so much the better.  Remember what I said at the beginning of this post, about some medical boards not being receptive to MLM companies? In many States, the doctor may have to personally become an ambassador or distributor, then make their practice one of their clients or vendors.    That way they can sell patients the products, but they are not promoting the business opportunity to patients.  This eliminates much of any potential legal liability if patients only have the option of purchasing the products as retail or preferred customers

4.  Communicate a plan for follow-up.  Make sure the doctor and their staff knows when you will be following up.  That way they can read any literature,  try any samples that you may leave, or prepare themselves with any questions they may have.  Be very specific about this timeline if you want a specific answer.  Don’t say, “I will follow-up with you next week”.  That is vague and creates no urgency.  It is far better to say, “I will call you Thursday morning at 10 am to see what questions you may have for me and see how you did with those samples.”


The key to success is not to be emotional.  Be professional and considerate, and whether the doctor loves or hates your product, leave a good impression.  Even if they are not interested in the product or the opportunity, you want them to feel confident that it is a safe and effective product for their patients, because sooner or later one of their patients will ask them whether they should be taking that product, and if you’ve done your job, the doctor will have no problem giving their approval to the patient regardless of their financial involvement.  Lastly, keep in mind, that most high-commitment sales involve 4  points of contact.  Rarely will people give you a definitive YES or NO with your first contact.  Again we come back to the ‘relationship’ in ‘relationship marketing’.  Build a relationship with these doctors.  Even if they say no now, that doesn’t mean that will always be their answer.  If you come across an interesting article that supports an ingredient in your product, mail it to them with a little personal note.  If you present yourself as a problem solver, you can’t help but to succeed.

Copyright (c) 2013 Miranda Jorgenson. All rights reserved. This material may not be published, broadcast, rewritten or redistributed in whole or part with out the express written permission of the author. You are welcome to share this link or print this page and use in its entirely

Just because it makes you poop, doesn’t mean that you are detoxing!

Just because it makes you poop, doesn’t mean that you are detoxing!

This isn’t an exciting post but we have to stop throwing the word ‘detox’ around.  If you do not define what you mean by it, the term is meaningless, and the vast majority of people are using the term as a symptom catch-all and that is simply not how detoxification works.


DETOX. For such a little word, it is sure used a lot in dietary supplement claims and reports.

Starting a new supplement & you’re feeling bad? You must be detoxing!

How does supplement X work? It detoxes you!

Have a headache? You are detoxing!

Do you have gas & bloating? You are detoxing!

Constipation? Diarrhea? You are detoxing!

You have a rash? You are detoxing!

Not losing weight? Your fat cells need to detox!

Blah, blah, blah.

Let’s start by detoxing the term detox!
I really don’t like the word DETOX. I think it has become highly overused, and most people don’t have a clue what it means or what they are actually referring to when they use the term. So in effect, it has become a vague term that people use when they don’t have anything better to say. In fact, in one British study, a network of 300 career researchers investigating ‘detox supplements and products’ found that no two companies even used the same definition of “detox” and most companies made vague claims without even referencing what “detox means or proof that it actually works.”1
Do I believe that the body accumulates toxins which impair health? Absolutely. Can I think of any science proving or even suggesting that a specific supplement can detox the body of all of these environmental toxins? Absolutely not.
To be clear, this isn’t an exciting blog post. There is nothing exciting about detoxification, especially when so many people have it so spectacularly wrong. First, let’s review some basic physiology. Everything your body ever comes in contact with, and everything you ever breathe in or consume needs to be processed through either your liver, your kidneys, your lungs, your bowels, or through your skin. Water soluble substances don’t pass through the skin readily but are filtered by the kidneys fairly efficiently. Oil-soluble substances can be absorbed readily through the skin and are processed by the liver, and sent through the bowels for elimination. Gaseous substances, like anesthetic, are cleared directly from the lungs. Most of the toxins you are exposed to will be via your mouth in the form of what you eat and drink. Looking at the digestive tract for a moment, consider it a ~30 foot tube connecting your mouth to your anus. Approximately 80% of your immune system is centered in and along that tube, and maintaining its balance is a single, fragile layer of cells only one-cell thick. If this layer of cells is damaged, the selective barrier loses its selectivity, and foods, toxins, and other substances that would normally pass through your system with little consequence, can now be absorbed directly into your system (where your body can mobilize antibodies and inflammation for protection against this onslaught). In addition, there is an intricate balance of over 500 different types of bacteria (about 3 pounds worth all together) that live along is this tube which form part of a collective ecosystem to help you digest food, produce vitamins, make nutrients available, regulate hormones, and excrete toxic byproducts of your metabolism. When this lining or bacterial ecosystem become impaired, then you suffer from a wide variety of health complaints because your organ systems simply cannot operate at full function. Now, your body being the masterpiece of engineering it is, it tries to maintain an equilibrium, or ‘steady state’. So it takes these substances that it recognizes as foreign and it walls them off or stores them in the tissues it deems less critical for survival. As far as your body is concerned, your fat stores are less critical to your immediate survival needs than the health of your ligaments, nerves, and muscles. So initially, your body packs away these metabolites and toxins in fatty tissues and this can lead to cysts, lipomas, or benign tumors. Next in the line of potential storage spots, your body likes the myelin sheath – that fatty layer of insulation that surrounds your nerves and aids with nerve conduction. Connective tissues like ligaments, bones, and blood, and then tissues such as nerve and muscle tissue come next. Areas bathed in fluid, like joints are always prime targets for metabolite deposition (an example would be uric acid crystals depositing in joints in people with gout). If toxic and metabolite exposure goes on long enough, entire organ systems can be affected and thereby become dysfunctional.
Getting back to your gut, many supplement companies do not take into consideration actual human physiology when they talk ‘detox’. I swear that most people think the word detox is synonymous with the word poop. Let me be very clear, just because something makes you have a bowel movement – that doesn’t mean you are detoxing. Every symptom you have is not a sign of detoxing, nor is it a sign you need to detox. Nothing gets me more wound up than all of these ambiguous posts online that blame every negative side effect or symptom on toxins. And please, don’t get me started on all of these posts where people come to a group forum and ask a legitimate health question, only to have their symptoms brushed off or minimized by some well-intentioned but ill-informed individual under the guise that “all is fine, you are just detoxing!” As a health care professional, when I see someone referring to the word ‘detox’, I read their statement as “I don’t know what I’m talking about and have nothing better to say, so I am going to baffle them with BS”.

On a very simplistic level, when we were embryos and our guts formed, one collection of nerves, the ‘neural crest’, forms and divides with one section becoming the central nervous system and the other section becoming the enteric nervous system. These two nervous systems are connected by the longest of your cranial nerves – the vagus nerve. This vagus nerve starts in the brain and terminates in the gut and this is the source of the brain-gut connection that you read about. It is also why you have ‘gut feelings’, why eating certain foods are addictive or simply make you feel good, why you want to eat when you are stressed, why food sensitivities can cause behavioral changes, and why medication such as antidepressants can cause stomach upset or nausea.


When most people refer to detoxification they are referring to liver function, or to Phase 1 and Phase 2 conjugation in the liver specifically.    This is truly your major site of detoxification and it is the organ most intimately connected to hormone balance.  In Phase 1, blood carrying toxins enters the liver, and the liver prepares these toxins , usually moving them towards being water soluble, and makes them more accessible to Phase 2.  In Phase 2, there are a sophisticated set of reactions involving a multitude of things, including Cytochrome P450.  In all, there are 6 main types of reactions that occur in the liver – with each one being completely chemically different.  That is why there is no magic detoxifying agent that can clean you out entirely. Of these 6 main reactions, 3 (glucuronidationmethylation, and sulfation) are the most likely to be impaired, and the other three are more likely to affect your hormone levels.

  • During sulfation, your body adds sulfur groups to certain toxins so they can be removed.  Your body requires sulfur-bearing amino acids like cysteine and methionine,  and B-vitamins like B12 and B6, and folic acid for these processes.
  • During methylation, your body requires methyl donors to facilitate the toxin removal. Up to  40% of the population may carry genetic anomalies which hinder this process.
  • During glucuronidation, your body requires glucuronic acid, various B vitamins and a significant amount of specific magnesium ions to work properly.

This all leads to glutathione conjugation, where your body then uses master antioxidants like glutathione, superoxide dismutase, and catalase, along with the antioxidant vitamins A, C, E, and selenium.

OK, so have I bored you to death yet?  This is as exciting as watching paint dry, right?  But if you have stuck with me this long, you might be asking me what this really means?  In a nutshell, it means that there is no single supplement or product that can act as a total detoxing agent.  Anyone who suggests otherwise, is steering you wrong and just doesn’t understand basic physiology.   CBC Marketplace (click link to watch the video) , Canada’s version of  20/20 style news exposè , recently did a show where they had  a group of sorority girls from my alma mater follow Dr. Oz’s popular 48 hour detox or act as a control group. Extensive blind testing was provided by a team of medical specialists before and after the ‘detox’, and would you be surprised by their conclusion that they could discern absolutely no differences between the two groups upon the completion of the detox program?  This leads us to a very important point, if you can’t find any biochemical proof that toxin levels are decreasing, then what are you really doing?  There is an incredible lack of scientific literature that supports most detoxification claims; not only can people not agree what detoxification is, but they can’t prove that they are causing it.

You can take specific supplements or combinations of supplements to pull, chelate, or adsorb (not absorb) specific toxins from the body, like using chlorella to bind with excess mercury you may have in your body from consuming shellfish or having amalgam fillings;  using EDTA to pull lead from environmental exposure; or using N-acetyl-cysteine to detoxify from acetaminophen exposure.  But (big BUT) when it comes to detoxification, there is no magic bullet.  You can’t go around claiming that every supplement under the sun is ‘detoxing’.  They just don’t work that way, and even if a substance supports a step of detoxification, it doesn’t cause detoxification in its own right, and blaming all negative symptoms on detoxification is haphazard and potentially dangerous.

I have kept a running list of the ‘detox’ references I have seen in the online groups I follow over the past few weeks.  Here is a list of symptoms that I have seen people blame on supplementation:

  • fatigue
  • hives and other skin rashes
  • weight gain
  • gas
  • bloating
  • nausea, vomiting
  • dizziness
  • insomnia
  • inability to concentrate, mental fog
  • headaches/migraines
  • diarrhea
  • constipation
  • heart palpitations

These are not symptoms of supplement-induced detoxification!!! These are symptoms of dehydration and starvation.  When many people undertake a detox plan or a new diet, they dramatically cut their caloric intake and unfortunately the do not consume enough water, or consume substances with diuretic properties which therefore increase their odds of becoming dehydrated.  On day one of a typical ‘detox ‘/ diet, people often feel bad.  They are hungry, may experience dizziness or irritability, and feel fatigued.  By day two, their body starts breaking down  muscle mass to provide them with energy and they may experience additional mood swings, difficulty sleeping, or overwhelming fatigue.  By the third day, they are likely having headaches, muscle pain or stiffness, and even dizziness or nausea.  Rolling into the fourth and fifth days (if they have lasted that long), their body has started to adapt to the new situation and slowed down your metabolism so they don’t feel the same degree of hunger, but they still may be dealing with altered mood, headaches, and nausea. Many people who report a 6-8lb weight loss during the initial period of any detox or diet are truly losing water and a small degree of muscle mass.  They are not losing fat!   You will notice that when you look at symptoms in this light, they are nearly all truly the result of dehydration and lack of calories, they have nothing to do with ‘detoxing’.

Yes, we can take steps to reduce our intake of toxins, and that may be the most practical approach to detoxification, but we can also take supplements  which reduce inflammation or support optimal liver functioning so that our livers are best equipped to deal with the chemicals we assault them with.  For anyone interested in detoxing, it should be clear that this isn’t a process you undertake in a few days or weeks, it should be a lifestyle change where you eat ‘clean’ and provide your body with a variety of fresh  fruits and vegetables, along with vitamins and minerals, and other key nutrients to ensure that our systems are always handling toxins adequately.  When someone tells me that they want to ‘detox’, my number one question is what they want to accomplish.  Most commercial detox programs are nothing more than fancily packaged bowel stimulants.  They make for expensive laxatives, and have no proven, measurable results, and for that reason, I do not recommend them.

While I am at it, I want to tackle ‘gluten sensitivity‘ and candida overgrowth’.  As these are two other catch-alls that get as much ill-informed press as detoxification. First, let’s look at gluten.   Do I believe that gluten is an issue?  Yes.  Do I think it is anywhere as prevalent as what people like to say?  No.  In fact, a recent study2 found that people with self-reported (and to be fair, the gluten sensitivity tests are horribly unreliable) gluten sensitivity actually had no physical reactions from consuming gluten and instead experienced a total elimination of all of their GI symptoms by eliminating FODMAP’s (Fermentable Oligo-Di-Mono-saccharides and Polyphenols, or rather fermentable,  poorly absorbed, short-chain carbohydrates) from their diet.  FODMAP’s are what we would traditionally consider to be high-residue foods, things that linger in the gut and prove a fertile ground for bacteria to grow and feed off of.  When bacteria thrive in disproportionate quantities or in imbalanced ratios, people can experience significant gas, bloating, cramping, constipation, diarrhea, etc.  So what are these FODMAPS?    The most common ones are fructose containing substances such as  fruit, agave, honey, and HFCS.  Oligosaccharides such as beans, lentils, wheat, onions, cabbage, and the other cruciferous vegetables.  Disaccharides like dairy (particularly in unfermented dairy products), and sugar alcohols like xylitol, malitol, and sorbitol, which are found in many diet products.  So looking at this list, you can be eating what you think is a perfectly healthy diet but causing undue havoc with your gastrointestinal tract and immune system.  A  lot of people are jumping on the gluten-free bandwagon as of late.  In fact, I have colleagues who make their living being gluten-free gurus.  I have sat down with internationally known scholars in the field and I just don’t see that gluten is the whole answer.  Face it, we were all raised on gluten, and while there were a small portion of the population that have celiac disease and cannot metabolize gluten, the majority of us, for hundreds of generations, did just fine with it.  It was the advent of genetic modification that heralded the onset of all of this gluten fuss.  It countries that do not allow GMO wheat, they do not have the same gluten issues that we face in the United States. I will say that in the allergy blood tests I run on people, I frequently see wheat as an allergic agent but infrequently  see gluten, so my personal experience supports the findings of this and other studies.

Lastly, I have received a bunch of questions lately about candida, and specifically the validity of the candida saliva test.  I am of the professional opinion that everyone has candida, it is just a matter of whether your immune system keeps it in check or not.

Truthfully, candida is like Epstein-Barr virus; if you go looking for it you are going to find it.  It may be more advantageous and easier on your wallet to simply treat for candida if you believe you have symptoms of candida overgrowth.  Now, the candida saliva test (where you spit a mouthful of saliva into a glass of distilled water and look for ‘strings’) isn’t overly accurate.3  It can be better said that it is a test of saliva viscosity or thickness, it isn’t reproducible, nor is it specific.  Yes, some people have oral candida (also called thrush) and will produce a positive spit test, but many people have  candida-free mouths but may have candida over growths on their skin, or in their intestines or vagina’s.  Yeast is an equal-opportunity offender.  You can spend hundreds of dollars having blood, stool, or skin tests done, but does that really change your course of treatment?  If you believe you have it, it may be a lot easier and cheaper just to treat for it, and treat for the appropriate length of time* (*most treatments need to be for a minimum of six weeks to be truly successful).  Now I am officially on the record as saying I feel the candida saliva test is a no-harm-no-foul test.  You can do it if you want, it doesn’t cost you anything but 10 minutes of your time, and it may or may not help you confirm that you have an issue.  I do not think it is fool-proof or diagnostic by any means, but some people need to see things in order for them to believe them, and this is a tangible test that anyone can do but it should not be something you bet the bank on!

1. Detox Dossier.  Retrieved 1/24/14 : http://www.senseaboutscience.org/data/files/resources/48/Detox-Dossier-Embargoed-until-0001-5th-jan-2009.pdf

2.  No effects of gluten in patients with self-reported non-celiac gluten sensitivity after dietary reduction of fermentable, poorly absorbed, short-chain carbohydrates. Retrieved 1/24/14 from  http://www.ncbi.nlm.nih.gov/pubmed/23648697

3.  http://www.acneeinstein.com/candida-spit-test-unreliable/

I’m going to get into HOT WATER with this post!

I’m going to get into HOT WATER with this post!

I am going out on a limb to say something that may not be very popular with a lot of people.  Quit mixing your Plexus Slim and Accelerator into hot water!  


Yes, I know that several  high ranking ambassadors are advocating this, but as a physician with 10 years of concentration in nutrition, it really makes me uncomfortable.  So here is your five cent chemistry lesson:

From a chemistry perspective, the greatest enemies of dietary supplements are time, moisture, oxygen, light , and heat.  When you take a product out of a capsule, and consume the ingredients directly, you have changed the dynamic of how they are absorbed.  Take oregano oil for example, if you take it orally, approximately 70% of its bioactive components, including carvacrol, will be deactivated by your stomach acid, leaving a paltry 30% remaining to do the job.  If you take a sustained release tablet however, nearly 100% of the active compounds will reach the target tissues so they can best work.  Most modern capsules have a dissolution rate of 15 to 30 minutes.  That means that once you swallow them, they chyme around in your stomach for approximately 20 minutes before they make their way from your stomach to your duodenum and jejunum (small intestine).  The pH of the stomach compared to the small intestine is radically different, and many more nutrients are meant to be broken down or absorbed in the small intestine than in the stomach. Most encapsulated supplements will open or release in the small intestine – where they are intended to work. Therefore opening capsules does not make for ideal nutrient delivery, and stomach acid can seriously impair herbs and volatile compounds.

In general, powder supplements are safe to mix into water below 120*F (warm, not hot)  if  (BIG IF) it is consumed very quickly.  That said, most coffee makers’ processing temperature is 197*F-205*F, and beverages like tea and coffee are usually served at 155*F to 175*F – which are significantly hotter than the 120*F safety threshold. So, if you are using your kettle or coffee pot to provide hot water to mix your supplements into, or if you are mixing them into your coffee or tea, then you are denaturing your supplements. Minerals are not typically affected by heat, however certain nutrients are impaired by heat, these include virtually all proteins, vitamin C, B1, B5, B6, and B9.  In fact, it can be argued that all water-soluble nutrients are potentially damaged by heat.  A very large percentage of herbs are also degraded by heat, this can be directly, or indirectly as volatile compounds oxidize or bind with fibrous content or other chemical structures.  In fact, one study, Novel Approaches for Stability Improvement in Natural Medicines, found that ,“Temperature and moisture are the two major factors that affect quality and stability of a herbal product. A chemical reaction increases by a factor of between two- and three fold for every 10°C rise in temperature.”1 So, if you are consuming your Plexus hot, even at the low-end temperature of coffee, you are potentially affecting the quality and stability 6- to 9- fold.  That is huge!   The same study also noted that moisture and the presence of enzymes also increase the rate of chemical degradation.  If you open up a capsule of a product that contains digestive enzymes, and take the contents orally, you can potentially damage your teeth and the soft tissues of your mouth and esophagus.  The caustic potential of most herbs have not been tested adequately, and we simply do not have long-term data on how they will affect your soft tissues.  Therefore it is prudent to take herbal extracts and concentrates in capsule or tablet form.

And it is just not basic vitamin potency that we need to consider, we have to consider how heat affects the organoleptic, physical, chemical, pathological, and microbiological characteristics of the components. Organoleptic properties include ingredient strength, chemical finger print, ingredient degradation (and by-products thereof).  Unfortunately, we don’t have specific stability data on most herbs. We just know, that as a category, they do not fare well under heat.  They also do not fare well when mixed with fiber, therefore taking the Slim and the Accelerator+ together in hot water could potentially bind the herbal components in Accelerator+ with the fiber content found in Slim.  If you were to mix your 96 Whey Protein into hot water, you would denature the proteins, and physically render the immunoglobins useless.    But back to the question at hand, Accelerator+ contains a few different herbs (hawthorne, higenamine, and hordenine) that are both chronotropes and inotropes – meaning they speed up heart rate, both time and force.  If you gradually [ie. slowly] absorb these herbs, they shouldn’t be problematic for healthy individuals, however, if you were to take these herbs in hot water, you can thereby force or push the absorption rate, and potentially cause tachycardia, arrhythmia, or other cardiovascular side effects.  That is probably why some ambassadors are reporting such a ‘rush of energy’ when they drink their combo hot – they are  impacting their heart rate!  This isn’t enough to damage healthy individuals, but it is estimated that upwards of 80% of people with cardiovascular disease are walking around undiagnosed and oblivious to their condition.  Do you want to be the person to send them to the hospital because they forced their absorption of these herbs, or took this supplement while ignoring the warning on the label: Not intended for those with heart conditions, high blood pressure, or any other cardiovascular condition.  Hawthorne, higenamine, and hordenine are all relative newcomers in the supplement industry, and even the Physicians Desk Reference for Herbal Medicine, 4th Edition doesn’t list stability data for these ingredients.  Therefore, it is only prudent to tell your customers to take the product as directed on the package

It is very important that we NEVER tell a customer to take a product contrary to the instructions set forth by the company that tested and manufactured that product.  Period.  Not only is is against FDA labeling guidelines, but it comes off as unprofessional.  When products are formulated, a lot of thought goes into their delivery system. Manufacturers choose to make their products as tablets, capsules, tinctures, or powders based on the ingredients they want to use, and where they want those ingredients to be absorbed.  Some nutrients, like vitamin C can get absorbed directly in the mouth and stomach.  Other ingredients, like vitamin B12, require the presence of adequate levels of intrinsic factor in the stomach to activate their uptake, or you will absorb very, very little.  There are even some nutrients that bind together if taken in close proximity to each other like iron and fiber, so you end up absorbing neither.  All in all, product developers spend a lot of time and energy trying to figure out optimal delivery of their ingredients.  There is a reason why your dietary supplement labels say “take one capsule twice daily with food”, or “mix thoroughly into 10-12 oz water and consume within 15 minutes”.   Imagine how you would feel if you went to your local pharmacy to purchase some acetaminophen for your headache, and the pharmacist told you to ignore the instructions on the label, and to grind it up and snort it instead.  You would think you were dealing with an utter nut-job!  If ambassadors routinely tell customers to take the products against label recommendations, they place a huge liability upon both themselves and Plexus Worldwide.  Until Plexus Worldwide changes their packaging to reflect that the herbs are heat stable and can be taken with hot water, you should not tell your customers otherwise.  If these directions are not in writing, they do not exist!

In closing, if you enjoy drinking your Slim warm, and by that I mean 120*F or less, you can go ahead. Wait at least 15-20 minutes before you take your Accelerator + for optimal results (so the fiber in the Slim does not bind with any of the standardized herbal extracts in the Accelerator+).   I absolutely do not recommend that you open the capsule or make a tea of the contents of the Accelerator+.  If you choose to do so, you are doing so at your own risk.  It would be foolhardy to recommend that to your customers.

So now that I have perturbed a bunch of people who have been raving all week about drinking their Slim/Accelerator tea, I’m just waiting to see the magnitude of the disturbance in the force that I create when I burst everyone’s bubble about ‘detoxing’ when I post my next blog post in the next day or two…

For more information, please visit and LIKE my page on Facebook at https://www.facebook.com/DrJsHealthCare




1.  Lovey Thakur, Umang Ghodasra, Nilesh Patel, Mahesh Dabhi.  Novel Approaches for Stability Improvement in Natural medicine.  Pharmacogn Rev. 2011 Jan-Jun; 5(9): 48–54.


doi:  10.4103/0973-7847.79099.  Accessed 01/15/14 from  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3210007/





  1. Copyright (c) 2013 Miranda Jorgenson. All rights reserved. This material may not be published, broadcast, rewritten or redistributed in whole or part with out the express written permission of the author. You are welcome to share this link or print this page and use in its entirely.

How to Talk to Your Doctor About Dietary Supplements

How to Talk to Your Doctor About Dietary Supplements

As I mentioned in a previous blog post, My Doctor Doesn’t Recommend Plexus Slim (or supplements in general)  , statistics show that the average medical doctor received only 23.9 hours of education in nutrition during their entire medical school career.1  Typically that education centered around  fat, protein, and carbohydrate metabolism, and identifying overt signs and symptoms of nutrient deficiency or toxicity  because National Boards love to ask questions about things you will virtually never see like beriberi (thiamine deficiency) or pellagra (niacin deficiency).  So, in all actuality, most physicians never learn much at all about individual nutritional substances outside of common vitamins and minerals unless they have taken a personal interest in it and searched out more information on their own time.


So when you show up to your doctor’s appointment wanting them to approve you taking a supplement, chances are very high that they will be completely unfamiliar with the ingredients and their knee-jerk reaction will be to tell you not to take it.

So, how do you get your doctor’s consent to take a supplement when they don’t know anything about it?

The single most important thing you can do to aid your doctor in their decision is to provide them with appropriate information.  Your doctor doesn’t have the time or the resources to look up 15 separate ingredients while you are at your appointment, so you need to do this for them.  If you present to the doctors office prepared with the following, you have dramatically increased your odds of getting appropriate medical advice as to whether that supplement is worth you trying.


  1. Print off the SUPPLEMENT FACTS box/sheet on the product you wish to take.  This is the ‘snapshot’ of the label that lists all ingredients, in order of quantity, and lists product dosing, and any warnings or contraindications.  You can get print these off from any supplement company’s website as they are required to make these available to you.
  2. If your prospective supplement has a study published on their website, print off a copy of that too.  Remember though, that many supplement companies do not publish studies on their supplements so they do not run into hot water with the FDA by making a product claim.
  3. Look up the main ingredients in the product and print off an information sheet about each one.  Use reputable websites that your doctor would be inclined to positively receive information from such as MedlinePlus,  WebMD Supplement Center, or the Physicians Desk Reference – Herbal Medicines. Please don’t use Wikipedia or other questionable sources!  If at all possible, keep the print out on each ingredient to a single page – that way your doctor can quickly skim the information.
  4. Use Pubmed to print off Abstracts (not the full studies) of any of the ingredients in relation to health conditions you may have.  Here is an example I searched for – chlorogenic acid, weight loss and this study  pops up.  ***Be careful here, because few nutritional journals are indexed at Pubmed, and the nutritional studies posted in medical journals are often AGAINST supplementation, or use rat or other lab animal models and are not based on human trials.
  5. Lastly, have these all together in a file or envelope that you can present to our doctor and NEVER ask them “I want your approval to take ________”.  This type of question opens them up to legal liability .  It is far better to word your question the following way, “Is there anything in this supplement that would be contraindicated with my medications or health history?”  That way you are not asking for their personal opinion, nor their approval, but you are doing your due diligence that the supplement should be safe for you.  Remember, the doctor works for you, and you hire them for their expertise.  If they shoot down all supplementation, then they are not working in your best interest.  For this reason, I recommend you also print out my blog post My Doctor Doesn’t Recommend Plexus Slim (or Supplements in General)  because it covers the exact statistics of risk for dietary supplements and counters any arguments an uninformed doctor may give you.


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1.  Adams, KM, Lindell, KC, et al.  Status of nutritional education in medical schools. 1,2,3,4.  Am J Clin Nutrition, April 2006, vol 83. No 4, 941S-944S.


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